Section 385-340-3 - Application for Initial Licensure - All License CategoriesA.Submission of ApplicationThe applicant shall submit an application under oath on forms provided by the board together with the fees required by Chapter 10, Section 4(22) of the rules of the Office of Licensing and Registration. Incomplete applications may be returned to the applicant.
B. Information Required of All ApplicantsThe application shall include the information and documentation described below and such other relevant information as the board may require:
1. Designation of the classification of license sought by the applicant;2. A certificate of completion of a board-approved training program;3. If the applicant is a sole proprietor, the name, date of birth, contact address, social security number, telephone number, fax number and email address of the applicant; 4. If the applicant is a partnership, the name, contact address, employer identification number, telephone number, fax number and email address of the partnership; the name and contact address of each partner; and the name of the partner who will be representing the applicant in matters before the board; 5. If the applicant is a corporation, the name, contact address, employer identification number, telephone number, fax number and email address of the corporation; the name of the parent company, if any; the name, contact address and title of each corporate officer and director; the name and contact address of each shareholder owning 10% or more of the voting stock of the corporation, including over-the-counter stock, unless the stock is traded on a major stock exchange and not over-the-counter; a certificate of existence from the Maine Secretary of State or, for corporations not organized under Maine law, a certificate of authority from the Maine Secretary of State; and the name of the corporate officer who will be representing the applicant in matters before the board; and6. If the applicant is a limited liability company, the name, contact address, employer identification number, telephone number, fax number and email address of the limited liability company; the current list of names and mailing addresses of each member and manager described in 31 MRSA §655(1)(A); a certificate of existence from the Maine Secretary of State or, for limited liability companies not organized under Maine law, a certificate of authority from the Maine Secretary of State; and the name of the member or manager who will be representing the applicant in matters before the board. An applicant who is not a resident of the State shall designate, on forms provided by the board, the Executive Director of the board as the applicant's agent for service of process in this State.
02-385 C.M.R. ch. 340, § 3